Falls prevention in residential care homes: a randomised controlled trial.
Age Ageing
; 33(6): 596-602, 2004 Nov.
Article
en En
| MEDLINE
| ID: mdl-15381507
ABSTRACT
OBJECTIVE:
to determine the effect of risk factor modification and balance exercise on falls rates in residential care homes.DESIGN:
cluster randomised controlled trial.PARTICIPANTS:
196 residents (aged 60 years or over) in 20 residential care homes were enrolled (38% response rate). Homes were randomly allocated to intervention and control arms. A total of 102 residents were consigned to the intervention arm and 94 to the control arm. INTERVENTION a multifactorial falls prevention programme including 3 months gait and balance training, medication review, podiatry and optometry. MAIN OUTCOMEMEASURES:
number of falls/recurrent falls per person, number of medications per person, and change in Tinetti gait and balance measure.RESULTS:
in the intervention group there was a mean of 2.2 falls per resident per year compared with 4.0 in the control group; this failed to reach statistical significance (P = 0.2) once the intra-cluster correlation (ICC, 0.10) had been accounted for. Several risk factors were reduced in the intervention arm.CONCLUSIONS:
falls risk factor reduction is possible in residents of care homes. A modest reduction in falls rates was demonstrated but this failed to reach statistical significance.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Instituciones Residenciales
/
Accidentes por Caídas
/
Ejercicio Físico
/
Equilibrio Postural
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Age Ageing
Año:
2004
Tipo del documento:
Article
País de afiliación:
Reino Unido